made 1 cm away from the anal verge in the right lateral position. The flap included skin and subcutaneous fat and was mobilized sufficiently to create a tension-free anoplasty. Care… Click to show full abstract
made 1 cm away from the anal verge in the right lateral position. The flap included skin and subcutaneous fat and was mobilized sufficiently to create a tension-free anoplasty. Care was also taken during the dissection to preserve the vascular pedicles to ensure an adequate blood supply. Next, the base of the flap was sutured to the dentate line with 3-0 Vicryl sutures. Finally, the remaining defect after advancement of the V-flap was sutured with 3-0 Vicryl sutures. The patient was discharged on the first postoperative day after an uneventful course. After discharge, a high fibre diet was recommended.
               
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